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EcoSchool2023 - Application Form - Word - Restricted - July

This document is an application form for the WCC Eco-School 2023 program in Europe and North America on Water, Food and Climate Justice taking place from July 24-31, 2023. The application requests basic personal information such as name, date of birth, passport information, contact details, education history, references, and includes fields to attach a passport photo and motivation letter. Applicants agree to abide by program conditions and that complete applications with attachments must be submitted by June 15, 2023.

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emibrett
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Download as DOCX, PDF, TXT or read online on Scribd
24 views

EcoSchool2023 - Application Form - Word - Restricted - July

This document is an application form for the WCC Eco-School 2023 program in Europe and North America on Water, Food and Climate Justice taking place from July 24-31, 2023. The application requests basic personal information such as name, date of birth, passport information, contact details, education history, references, and includes fields to attach a passport photo and motivation letter. Applicants agree to abide by program conditions and that complete applications with attachments must be submitted by June 15, 2023.

Uploaded by

emibrett
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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WCC Eco-School 2023 (Europe and North America Region)

on Water, Food and Climate Justice


July 24-31, 2023

Application Form
Insert passport photo here by clicking on the above image 
Please type or write clearly in English. If you are filling out the
form on a computer,
Title Click here toclick
enteron the grey text “Click
text. herename
Family to enter
(as in passport)
text”. A text box will appear for you to enter the information.
Click here to enter text.
YouFirst
canname
useand
themiddle
“Tab”name
button to navigate from one
(if applicable) Maidentext
namebox(ifto
applicable)
another. The completed application
(as in passport) Click here to enter text. forms should beClick herebyto enter text.
sent
email to [email protected] by June 15, 2023.
Gender female male Civil status single married other

Date of birth (day/month/year) Place of birth (city/country)


Click here to enter text. Click here to enter text.

Country of birth (as in passport ) Nationality (as in passport)


Click here to enter text. Click here to enter text.
Passport number Click here to enter text. Place of issue (city/country)
Click here to enter text.
Date of issue (day/month/year) Valid until (day/month/year)
Click here to enter text. Click here to enter text.
Country of Residence Click here to enter text. Continent/Region of residence
Click here to enter text.

Church/denomination Click here to enter text.

1. Contact information
Street address City and state (if applicable)
Click here to enter text.
Click here to enter text.

Post code/zip code Click here to enter text. Country Click here to enter text.
Telephone (with country code) Click here to enter text. Mobile phone Click here to enter text.
E-mail address Click here to enter text. e-mail address 2 (optional) Click here to enter text.

2. Proficiency in English (Indicate (F) Fair – (G) Good – (E) Excellent)


Language Writing level Reading level Speaking level Comprehension level

Click here to enter text.


Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.

Mother tongue Click here to enter text.

3. Education
Full title of degree(s): Descending order

Click here to enter text.

Click here to enter text.

Click here to enter text.

Click here to enter text.

Full name of the issuing university

Click here to enter text.

Country of issue Date of issue


Click here to enter text.
Click here to enter text.

4. Additional information & Scholarships


Current occupation (if applicable) Click here to enter text.

Current employer (if applicable) Click here to enter text.


How did you find out about the Eco-School? Click here to enter text.

5. References (please give contact details of two references not related to you by blood )
1. Family name Click here to enter text. First name Click here to enter text.
Occupation Click here to enter text. Phone number Click here to enter text.
2. Family name Click here to enter text. First name Click here to enter text.
Occupation Click here to enter text. Phone number Click here to enter text.

I testify that the information I have given in this form is true and accurate and that, if admitted, I agree to
abide by the conditions governing the WCC Eco-School on Water, Food and Climate Justice. I understand that
only complete applications will be processed, and I confirm that I have attached a copy of the ID page of my
passport and my motivation letter (300 – 500 words).

Date Click here to enter text. Signature (click on the image below to insert your scanned
signature)↓

Place: Click here to enter text.

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